Organization
OPERATION SAMAHAN, INC.
Active
Other names
Operation Samahan Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ARCHIE BELLA MD (CEO/CMO)
(844) 200-2426
Entity
Organization
Contact information
Practice address
2743 HIGHLAND AVE., NATIONAL CITY, CA 91950-4624
(844) 200-2426
(619) 356-2726
Mailing address
1428 HIGHLAND AVENUE, NATIONAL CITY, CA 91950-4624
(844) 200-2426
(619) 356-2726
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
090000183
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63
SAN DIEGO CMS
CA
01
—
BCP70250F
MEDICAID
CA
01
—
CMM70250F
MEDICAID
CA
01
—
EAP70250F
MEDICAID
CA
01
—
FHC70250F
MEDICAID
CA
01
—
HAP70250F
MEDICAID
CA
01
—
W9341
MEDICARE
CA
Enumeration date
08/31/2006
Last updated
10/20/2022
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